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Sacroiliac Joint X-ray

Louisiana rates for HCPCS 72200

This is an X-ray of the sacroiliac joints, the joints where the base of the spine connects to the pelvis, using a limited number of views. It is used to look for signs of arthritis, injury, or inflammation in these joints, which can be a source of low back pain.

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $10$130%20%40%10th90th$11Professionalmedian $25 · 10th–90th $8$430%5%10%10th90th$25$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.77
Median
$10.72
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$52.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.50
Median
$9.77
Typical High
$16.22
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.22
Median
$25.12
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.46
Median
$6.46
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$47.86
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.91
Median
$10.72
Typical High
$14.13
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$30.20
Typical High
$33.88
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.94
Median
$8.32
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.90
Typical High
$58.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.50
Median
$9.12
Typical High
$17.38
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.13
Median
$22.91
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$31.62
Typical High
$51.29
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.92
Median
$9.12
Typical High
$14.45
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$22.39
Typical High
$36.31